Organization
FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC.
Active
Organization
FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY OSBORNE (CEO)
(607) 753-3797
Entity
Organization
Contact information
Practice address
85 SOUTH WEST STREET, HOMER, NY 13077-0000
(607) 753-3797
(607) 753-6677
Mailing address
85 S WEST ST, HOMER, NY 13077-1542
(607) 753-3797
(607) 753-6677
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
NY
207Q00000X
Family Medicine Physician
—
NY
207VG0400X
Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
NY
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363A00000X
Physician Assistant
—
NY
363L00000X
Nurse Practitioner
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00474144
—
NY
Enumeration date
12/19/2006
Last updated
10/09/2023
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